| NPI | 1215107602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PENARANDA Office Manager 201-867-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 14344) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 13628) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |